妊娠合并房室传导阻滞56例临床分析  

A restrospective analysis of 56 cases of pregnant women with atrioventricular block

作　　者：龚静[1] 郝鹏[2] GONG Jing;HAO Peng(Department of Gynaecology and Obstetrics Beijing Anzhen Hospital,Capital Medical University,Beijing Institute of Heart,Lung and Blood Vessel Diseases,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所妇产科,100029 [2]首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所心内综合科一区,100029

出　　处：《心肺血管病杂志》2023年第7期698-701,707,共5页Journal of Cardiovascular and Pulmonary Diseases

摘　　要：目的:分析我院妊娠合并房室传导阻滞(atrioventricular block,AVB)56例患者的临床情况。方法:收集2014年1月至2022年12月,在首都医科大学附属北京安贞医院分娩的56例AVB患者的临床资料,根据AVB程度分为三组,对AVB临床情况进行分析。结果:对于妊娠合并合AVB患者,在一般情况如年龄、孕次、产次、终止妊娠孕周这些方面,差异无统计学意义(P>0.05)。在心脏方面,放置临时起搏器在三组间差异有统计学意义(P>0.05),放置永久起搏器及心脏功能方面三组间差异无统计学意义(P>0.05)。产科并发症方面,包括胎膜早破、妊娠期糖尿病及妊娠期高血压疾病,三组差异无统计学意义(P>0.05)。在分娩方式方面,剖宫产率随AVB程度增加而增加。母胎妊娠结局方面,无孕产妇和新生儿死亡,产后出血及早产发生率等,在三组间差异无统计学意义(P>0.05)。结论:大多数AVB妇女都能成功妊娠和分娩。分娩前放置临时起搏似乎对患有III°AVB的妇女有益,但仍需结合患者症状及心功能。分娩方式需结合患者心脏病妊娠风险分级及心功能。Objective:To analyze the clinical outcomes of 56 cases of pregnancy with atrioventricular block(AVB)in our hospital.Methods:The clinical data of 56 patients with AVB delivered in Beijing Anzhen Hospital affiliated to Capital Medical University from January 2014 to December 2022 were collected and divided into three groups according to the degree of AVB,and the clinical conditions of AVB were analyzed.Results:There was no significant difference(P>0.05)in the general conditions such as age,gravidity,parity and gestational weeks of termination of pregnancy among the patients AVB.There were differences(P>0.05)among the three groups with temporary pacemakers,but no difference(P>0.05)among the three groups with permanent pacemakers.In terms of obstetric complications,including premature rupture of membranes,gestational diabetes mellitus,and hypertensive disorder complicating pregnancy,there were no significant differences(P>0.05)among our three groups.In terms of delivery mode,the rate of cesarean section increased with the degree of AVB.In terms of maternal-fetal pregnancy outcomes,there were no maternal or neonatal deaths in all of our cases,and the incidence of postpartum hemorrhage and preterm delivery was not statistically significant(P>0.05)among the three groups.Conclusions:Most women with AVB have a successful pregnancy and delivery.Temporary pacing prior to delivery appears to be beneficial for women with III°AVB,but should be considered in conjunction with patient symptoms and cardiac function.The mode of delivery should be combined with the pregnancy risk classification of heart disease and cardiac function.

关 键 词：妊娠 房室传导阻滞 临床结局 

分 类 号：R54[医药卫生—心血管疾病]